Will USCIS reject my I-693?

Records the immigration medical examination and vaccination history that most adjustment-of-status applicants must submit to show they are not inadmissible on health-related grounds. USCIS returns rejected packages unprocessed — and I-693 has no USCIS fee of its own, so a rejection costs you the delay on everything it was filed with. Answer 10 quick yes/no questions about your completed I-693 and see where your rejection risk is.

All 10 checks in the Form I-693 rejection quiz

Every question maps to a documented USCIS filing problem for Form I-693 — pulled from the form's own instructions and USCIS guidance: the current 01/20/25 edition requirement, each signature block, blank-field rules, date format and consistency, the exact filing fee, and the specific problems those instructions name for I-693. Here is the full list; open any one to see what USCIS does about it.

1. Did you confirm the edition date printed at the bottom of every page of your I-693 is 01/20/25 — the current edition on uscis.gov?

   Form edition risk

   USCIS accepts more than one edition of Form I-693 right now — 01/20/25 and 03/09/23. Any other edition is an automatic rejection. The date is printed at the bottom of every page, and all pages must come from the SAME edition even though two are acceptable. Get a fresh 01/20/25 copy for any new examination. USCIS accepts the older 03/09/23 edition only where the civil surgeon signed it on or before July 2, 2025; for a signature on or after July 3, 2025 only the 01/20/25 edition is acceptable.

2. Has the applicant — do not sign until the civil surgeon tells you to signed and dated Part 2 by hand — not typed, not stamped?

   Signature risk

   Part 2 — Applicant — DO NOT SIGN UNTIL THE CIVIL SURGEON TELLS YOU TO: The form carries an explicit note: do not sign or date Form I-693 until instructed to do so by the civil surgeon. Signing at home before the examination is the single most common way this form goes wrong. Sign and date in ink. A stamped or typewritten name is not acceptable. Under the 07/10/2026 signature rule an invalid signature can be DENIED (filing fee kept, no opportunity to cure), not merely rejected: a typed name, a cursive or script font, and digital/e-signature software output (e.g., DocuSign) are all invalid on a paper filing. Only a handwritten ink signature — or a scan, photocopy, or fax of one — counts. An electronic signature is valid only when it is captured through a USCIS online account during online filing.

3. Is Part 1 (Items 1.a – 1.c) — Your full legal name, spelled exactly as on the Form I-485 this accompanies — fully completed?

   Blank / incomplete fields risk

   Form I-693, Part 1, Items 1.a – 1.c: Your full legal name, spelled exactly as on the Form I-485 this accompanies.

4. Do the dates on your form match your supporting documents exactly — especially the civil surgeon’s date of signature and the applicant’s date of signature?

   Date & consistency risk

   The date fields that most often cause problems on I-693: The civil surgeon’s date of signature — Form I-693 is valid for two years from this date. A form signed more than two years before it is filed is expired, and this date — not the examination date — is the one that counts. The applicant’s date of signature — It must not predate the civil surgeon’s instruction to sign, and a date filled in at home before the appointment is the defect the form’s own note warns about. Part 10 — vaccination dates — Each dose needs a date, and a series recorded as complete with fewer dates than the series requires is an obvious internal contradiction.

5. Have you confirmed your exact I-693 filing fee ($0 for the general category) against the current USCIS G-1055 schedule for YOUR filing category?

   Filing fee risk

   I-693 costs $0 — No USCIS filing fee. The civil surgeon sets and charges their own fee for the examination, which USCIS does not regulate. Taken from USCIS Form G-1055, fee-schedule edition 10/07/26. Paying a fee that is not owed, or attaching this to a package whose own fee is wrong, still gets the package returned.

6. Have you ruled out this known I-693 filing problem: “Not submitted in a sealed envelope, or submitted in an envelope that has been opened or altered — USCIS returns the form”?

   Missing evidence risk

   Named in the Form I-693 instructions or USCIS's published guidance — some problems like this get a package rejected, others a Request for Evidence.

7. If you used an interpreter, did they complete, sign, and date Part 3? (Answer Yes if this doesn't apply to you.)

   Signature risk

   Part 3 — Interpreter (if one was used): The interpreter certifies fluency and that they interpreted every question and answer, then signs and dates. Only a handwritten ink signature — or a scan, photocopy, or fax of one — is valid on a paper filing. A typed name, a cursive or script font, a stamp, or e-signature software output (such as DocuSign) is not; an electronic signature counts only when it is captured through a USCIS online account during online filing.

8. If someone else prepared your form, did they complete, sign, and date Part 4? (Answer Yes if this doesn't apply to you.)

   Signature risk

   Part 4 — Preparer (if other than the applicant): Anyone who prepared Parts 1 to 4 for the applicant signs and dates here. Parts 5 to 10 are the civil surgeon’s and are not preparable. Only a handwritten ink signature — or a scan, photocopy, or fax of one — is valid on a paper filing. A typed name, a cursive or script font, a stamp, or e-signature software output (such as DocuSign) is not; an electronic signature counts only when it is captured through a USCIS online account during online filing.

9. Have you answered every question on the form, writing "N/A" or "None" instead of leaving any required field blank?

   Blank / incomplete fields risk

   Leaving a required field blank instead of writing "N/A" or "None" is one of the most common reasons USCIS returns a package unprocessed.

10. Is every date on your I-693 written in mm/dd/yyyy format?

    Date & consistency risk

    USCIS expects dates on Form I-693 in mm/dd/yyyy format. A day-first date (common outside the U.S.) reads as a different date to an intake officer.

Your answers stay in your browser. The result names the risk areas flagged by your answers — to see the specific problems on your actual form, upload it to FormGuard: the issue count is free, and $39 unlocks the full line-by-line report on your completed I-693. (A scanned PDF longer than 3 pages skips the free preview and goes straight to the paid report.)

Form I-693 rejection — frequently asked questions

Will USCIS reject my I-693 for a missing signature?

Yes — and it can be worse than a rejection. An unsigned I-693, or one signed with a typed name, a cursive or script font, a stamp, or e-signature software output such as DocuSign, is not validly signed; only a handwritten ink signature — or a scan, photocopy, or fax of one — counts on a paper filing, and an electronic signature counts only when captured through a USCIS online account during online filing. Under the DHS signature rule effective 07/10/2026, an invalid signature on a paper filing can be denied outright: USCIS keeps the filing fee and there is no opportunity to cure. I-693 has 5 signature blocks to verify before you file.

Will USCIS reject my I-693 if I use an old edition?

USCIS accepts more than one edition of I-693 right now — 01/20/25 and 03/09/23. Any other edition is an automatic rejection. The date is printed at the bottom of every page, and all pages must come from the SAME edition even though two are acceptable. Download a fresh copy from uscis.gov right before you file.

Does USCIS refund the filing fee if my I-693 is rejected?

Generally no. USCIS returns the package unprocessed and keeps no place in line, and because I-693 is filed alongside other forms, they come back with it — you fix the error and refile the whole package, losing weeks or months. That is why checking before you file matters.

How accurate is this I-693 rejection quiz?

The quiz flags which RISK AREAS need attention based on your own answers about the most common USCIS filing problems for I-693 — it cannot see your actual form. For a line-by-line review of your completed I-693 against these requirements, upload it to FormGuard: it reads the form itself and shows you the issue count free, and $39 unlocks the full report. A scanned PDF longer than 3 pages skips the free preview and goes straight to the paid report.

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